Active NPI
Luz Catherine Tello, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Columbia, MD
National Provider Identifier
1386886414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- D0077830
- Practice address
- 10710 Charter Dr
Suite 410
Columbia, MD 21044-3128 - Phone
- (301) 953-2080
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | D0077830 | MD | Primary |
Addresses
Primary practice location
10710 Charter Dr
Suite 410
Columbia, MD 21044-3128
Mailing address
10710 Charter Dr
Suite 410
Columbia, MD 21044-3128
Phone (301) 953-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077830 | MD | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1386886414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"address_2": "SUITE 410",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443128",
"telephone_number": "301-953-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 CHARTER DR",
"address_2": "SUITE 410",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443128",
"telephone_number": "301-953-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLO",
"first_name": "LUZ",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MD",
"license": "D0077830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.